National Provider Identifier [NPI]: |
1780622928 |
Last Name Of The Provider |
SHEBIB |
First Name Of The Provider |
ZAHER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6319 FAIRMONT PKWY |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
775054245 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
11278 |
Number Of Medicare Beneficiaries |
824 |
Total Submitted Charge Amount |
1859483.9 |
Total Medicare Allowed Amount |
738473.45 |
Total Medicare Payment Amount |
571608.84 |
Total Medicare Standardized Payment Amount |
569505.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1938 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
88070.5 |
Total Drug Medicare AllowedAmount |
4029.04 |
Total Drug Medicare PaymentAmount |
3147.61 |
Total Drug Medicare Standardized Payment Amount |
3147.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
9340 |
Number Of Medicare Beneficiaries With Medical Services |
824 |
Total Medical Submitted Charge Amount |
1771413.4 |
Total Medical Medicare Allowed Amount |
734444.41 |
Total Medical Medicare Payment Amount |
568461.23 |
Total Medical Medicare Standardized Payment Amount |
566357.96 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
195 |
Number Of Beneficiaries Age 65 to 74 |
255 |
Number Of Beneficiaries Age 75 to 84 |
237 |
Number Of Beneficiaries Age Greater 84 |
137 |
Number Of Female Beneficiaries |
428 |
Number Of Male Beneficiaries |
396 |
Number Of Non Hispanic White Beneficiaries |
532 |
Number Of Black or African American Beneficiaries |
74 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
199 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
518 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
306 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
68 |
Percent Of With Chronic Kidney Disease |
71 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
66 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
3.8038 |